16 Att 09 Contractors Release Form DOT F4220.4.doc
DOC document 53 KB Posted
- Attached to
- Amend 002 - IIJA LIT ATCT, HVAC, Replace Boiler, Controls System Federal contract opportunity
- Solicitation number
- 6973GH-25-R-00125
About this file
The document is a Department of Transportation Contractor's Release form (DOT F4220.4), which serves as a legal release document for a contractor to formally discharge the government from liabilities related to a specific contract. The form allows the contractor to release the government from claims and obligations upon receipt of payment, with specific exceptions for patent-related claims, unknown third-party liabilities, and potential future claims that are not known at the time of signing.
The related federal contract opportunity is a small business set-aside solicitation (6973GH-25-R-00125) for the Federal Aviation Administration's Bill and Hillary Clinton National Airport in Little Rock, Arkansas. The project involves replacing three 15-ton split computer room HVAC systems, two 5-ton split HVACs for the Power Conditioning System, removing and replacing the facility's boiler, and installing a new Schneider Electric Ecostruxure control system. The contractor must provide all necessary equipment, materials, labor, and supervision, create new network infrastructure with CAT6 cabling, install an enterprise server with control workstation, and maintain continuous cooling during the construction process.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 16 6973GH-25-R-00125-002.pdf | ||
| 16 Att 03 230900 SF REV 01 - INSTRUMENTATION AND CONTROL FOR LIT TOWB HVAC.pdf | ||
| 16 6973GH-25-R-00125-001.pdf | ||
| 17 Questions and Answers.docx | DOCX document | |
| 16 Att 08 FAA-STD-019f Chg 3 20200401.pdf | ||
| 16 Att 03 230900 SF - INSTRUMENTATION AND CONTROL FOR LIT TOWB HVAC.pdf | ||
| 16 Att 01 Statement of Work.pdf | ||
| 16 Att 13 Offeror Organizational Experience.pdf | ||
| 16 Att 12 Wage Determination.pdf | ||
| 16 Att 05 230593 SF - TESTING ADJUSTING AND BALANCING FOR LIT TOWB HVAC.pdf | ||
| 16 Att 10 Payment Bond.pdf | ||
| 16 Att 07 FAA-C-1217H.pdf | ||
| 16 Att 02 LIT ATCT Drawings Referenced in SOW.pdf | ||
| 16 6973GH-25-R-00125.pdf | ||
| 16 Att 11 Performance Bond.pdf | ||
| 16 Att 04 230800 SF - COMMISSIONING OF LIT TOWB HVAC.pdf | ||
| 16 Att 06 Contractor As Built Dwgs For Controls.pdf |
Show all 17
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Text version
DEPARTMENT OF TRANSPORTATION
CONTRACTOR'S RELEASE
CONTRACTOR (Name and Address)
CONTRACT NO.
ENTER SUM OF TOTAL OF AMOUNTS PAID AND PAYABLE
Pursuant to the terms of the above numbered contract and in consideration of the sum stated above, which has been paid or is to be paid to the Contractor, or its assignees, the Contractor, upon payment of the said sum by the UNITED STATES OF AMERICA (hereinafter called the Government), does remise, release, and discharge the Government, its officers, agents, and employees, of and from all liabilities, obligations, claims, and demands whatsoever under or arising from the said contract, except:
1. Specified claims in stated amounts or in estimated amounts where the amounts are not susceptible of exact statement by the Contractor, as follows: (or state "None")
2. Claims, together with reasonable expenses incidental thereto, based upon the liabilities of the Contractor to third parties arising out of the performance of this contract, which are not known to the Contractor on the date of the execution of this release and of which the Contractor gives notice in writing to the Contracting Officer within the period specified in the said contract; and
3. Claims for reimbursement of costs (other than expenses of the Contractor by reason of his indemnification of the Government against patent liability) including reasonable expenses incidental thereto, incurred by the Contractor under any provisions of the said contract relating to patents.
The Contractor agrees, in connection with patent matters and with claims which are not released as set forth above, that it will comply with all provisions of the said contract, provisions of the said contract, including without limitation those provisions relating to notification to the Contracting Officer and relating to the defense or prosecution of litigation.
IN WITNESSES WHEREOF, this release has been executed this _______ day of ___________________, 19 ___.
| WITNESSES |
| _______________________ |
(Contractor)
| BY |
| _______________________ |
| ____________________________________ |
| TITLE |
| _______________________ |
NOTE: In the case of a corporation, witnesses are not required but the below statement must be completed.
I, _________________________________, am the _______________________ secretary of the corporation named as Contractor in the foregoing release; that _____________________ who signed said release on behalf of the Contractor was then _______________________ of said corporation; release was duly signed for and in behalf of said corporation by authority of its governing body and is within the scope of its corporate powers.
Signature
Form DOT F 4220.4 (Rev. 5/05) (word)
PREVIOUS EDITION OBSOLETE
AUTHORIZED FOR LOCAL REPRODUCTION
File details come from the government source that posted it. Updated .